| NPI | 1518910207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL ACKERMAN Medical Director 718-338-0909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NY 38812) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: NY 38812) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2008-02-12 |